Excerpt from The Tuberculosis Problem in Rhode Island: A Survey Conducted for the Rhode Island Tuberculosis Association

Passing from the problem of infection to that of resistance, it is clear that in settled communities the vast majority of healthy adults have acquired a relative immunity to tuberculosis and it is highly probable that a failure of vital resistance is in most cases the de termining factor, which transforms a latent infection into active clinical disease. Overwork, underfeeding, illness of other types, alcoholism, industrial dusts, these are the chief agents which cause the lighting up of isolated local lesions into an acute disease process. In dealing with adult tuberculosis, in communities where tubercu lous infection is common, the development of general and individual resistance is our chief weapon. The following measures are essen tial to this portion of the program.

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